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Its important to note that transfusions have certain risks and should only be done when necessary

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Children may be prescribed lower doses based on their weight, says Jason Liebowitz, MD, assistant professor of medicine at Columbia Vagelos College of Physicians and Surgeons in New York City

Vitamin B-12 deficiency symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet difficulty walking (staggering, balance problems) anaemia a swollen, inflamed tongue difficulty thinking and reasoning (cognitive difficulties), or memory loss weakness fatigue While an experienced physician may notice the symptoms and be able to detect a vitamin B-12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition

Medical Supervision and Monitoring Clinics that include physician evaluations, lab testing, metabolic assessments, and ongoing follow-up may charge more

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